Active Rehabilitation After Childhood and Adolescent Mild Traumatic Brain Injury: a Narrative Review and Clinical Practice Implications
Purpose of Review
Development of rehabilitation strategies for youth after mTBI can be challenging for the rehabilitation professional. The purpose of this narrative review is to highlight current evidence for the use of active rehabilitation to manage common impairments after concussion/mild traumatic brain injury (mTBI).
Exertional intolerance, vestibular deficiency, visual problems, and cervical dysfunction are common after mTBI. Active rehabilitation strategies targeting these problems are likely effective at reducing these impairments, leading to improved functioning.
Active rehabilitation recommendations for mTBI are evolving rapidly. There appears to be consensus that various impairment domains can be targeted with exercise and education after a thorough evaluation. More rigorous studies within the youth population are needed to move the field toward individualized, active rehabilitation strategies for youth after mTBI.
KeywordsConcussion Youth Active rehabilitation Traumatic brain injury
Mild traumatic brain injury
Randomized clinical trials
Vestibular/Ocular Motor Screening
Dynamic visual acuity
Motion sensitivity test
Dizziness Handicap Index
Range of motion
Cervical range of motion
Compliance with Ethical Standards
Conflict of Interest
Brad Kurowski reports grants from NIH outside the submitted work. Jason Hugentobler, Catherine Quatman-Yates, Nathan Evanson, Andrea Paulson, Caitlin Chicoine, Barynia Backeljauw, and Christina L. Santia declare no conflicts of interest relevant to this manuscript.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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